Senior Claims Specialist - Workers Compensation

Posted 2 Days Ago
Be an Early Applicant
2 Locations
Remote
95K-110K Annually
Senior level
Insurance
The Role
Manage Pennsylvania and Delaware workers’ compensation claims from inception through resolution. Investigate claim facts, evaluate compensability and benefits, establish reserves, negotiate settlements, develop resolution strategies, collaborate with defense counsel and external resources, prepare large-loss reports, maintain documentation, analyze trends, and ensure regulatory compliance. The role is remote, requires Eastern Time Zone hours, occasional travel, and a Delaware workers’ compensation license.
Summary Generated by Built In

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Who We Are 

Strategic Comp is a leading provider of workers' compensation insurance for large employers committed to protecting their workforce. As part of Great American Insurance Group, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business. 


Through our specialized insurance expertise and field-based service model, we build lasting partnerships and deliver exceptional results for our customers. Our culture is built on collaboration, excellence, and a shared commitment to serving our customers and one another. 


Position Summary

Strategic Comp is seeking an experienced Senior Claims Specialist to manage Pennsylvania and Delaware workers' compensation claims. This role is responsible for investigating claims, determining compensability, establishing reserves, negotiating settlements, and developing strategies that drive effective claim resolution.


We take an extremely aggressive and proactive approach to claim adjusting and are looking for the person who not only knows their jurisdiction’s comp laws but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for an adjuster who is very skilled at developing strategies to bring claims to resolution. This is a remote position that requires working Eastern Time Zone business hours.


Responsibilities

  • Manage Pennsylvania and Delaware workers' compensation claims from inception through resolution.
  • Analyze claim facts and evaluate coverage, compensability, and benefits eligibility.
  • Develop and execute strategies to achieve timely and favorable claim outcomes.
  • Establish and maintain appropriate claim reserves.
  • Negotiate settlements and bring about claim resolution.
  • Communicate regularly with claimants, insureds, employers, and other stakeholders.
  • Prepare and present large loss reports to internal and external audiences.
  • Collaborate with defense counsel on litigation strategy and claim resolution.
  • Partner with medical case managers, surveillance vendors, and other external resources.
  • Ensure compliance with Illinois workers' compensation laws and regulations.
  • Maintain accurate and timely claim documentation.
  • Analyze claim trends and exposure to support effective decision-making.
  • Provide exceptional service while building strong relationships with customers and business partners.

Qualifications

  • 10+ years of Pennsylvania and Delaware workers' compensation claims adjusting experience, including complex or high-exposure claims.
  • Strong knowledge of Pennsylvania and Delaware workers' compensation laws, regulations, and claims practices.
  • Professional industry designations such as Associate in Claims (AIC) are preferred.
  • Ability to work Eastern Time Zone business hours and travel occasionally as needed.
  • You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts.
  • Delaware workers’ compensation license is required. Additional state licenses are a plus.   

Business Unit:

Strategic Comp


Salary Range:

$95,000.00 -$110,000.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

 

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

 

*Excludes seasonal employees and interns.

Skills Required

  • 10+ years of Pennsylvania and Delaware workers' compensation claims adjusting experience, including complex or high-exposure claims
  • Strong knowledge of Pennsylvania and Delaware workers' compensation laws, regulations, and claims practices
  • Ability to work Eastern Time Zone business hours
  • Strong written and verbal communication skills
  • Ability to work with varied internal and external contacts
  • Delaware workers' compensation license
  • Associate in Claims (AIC) or similar professional industry designation
  • Ability to travel occasionally as needed

Great American Insurance Group Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Great American Insurance Group and has not been reviewed or approved by Great American Insurance Group.

  • Leave & Time Off Breadth — PTO, paid holidays, and paid parental leave are positioned as generous from the first year. These time‑off provisions are seen as core strengths of the total package.
  • Healthcare Strength — Health coverage includes comprehensive medical, dental, and vision options supported by HSA and FSA programs. Wellness resources such as EAP access, fitness facilities or reimbursements, and instructor‑led classes broaden the offering.
  • Retirement Support — Immediate 401(k) eligibility with a competitive company match and potential discretionary retirement contributions support long‑term savings. An employee stock purchase option and various discounts further reinforce financial benefits.

Great American Insurance Group Insights

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The Company
HQ: Cincinnati, OH
4,738 Employees

What We Do

Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance, focusing on specialty commercial products for businesses. We have more than 30 specialty property and casualty insurance businesses, and in 2021, approximately 50% of our gross written premium in our property and casualty operations was generated by business units with a Top 10 market ranking. Great American Insurance Company has received an "A"​ (Excellent) or higher rating from the AM Best Company for more than 110 years (most recent rating evaluation of "A+"​ (Superior) affirmed December 3, 2021). The members of Great American Insurance Group are subsidiaries of American Financial Group, Inc. (AFG), also based in Cincinnati, Ohio.

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